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Nationwide rates for HCPCS 27536

Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation

Facilitymedian $6,026 · 10th–90th $1,445–$14,7910%5%10%10th90th$6,026Professionalmedian $1,738 · 10th–90th $977–$4,1690%10%10th90th$1,738$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $5,370.32 / $13,489.63
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $11,748.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $8,511.38 / $16,595.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $2,951.21 / $8,511.38
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$2,398.83 / $2,398.83 / $2,398.83
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $6,606.93 / $16,218.10

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